The share of influence of factors determining the state of public health in the context of the COVID-19 pandemic

Abstract

Background. The relevance of the study is explained by insufficient knowledge of the determinants of health in the context of the COVID-19 pandemic.

Aim. To study the share of influence of factors that determine the state of public health in the context of a pandemic of a new coronavirus infection (COVID-19).

Material and methods. A sociological research method was used — in 2021, an anonymous survey of 42 expert healthcare managers, who were asked to determine the share of influence of determinants on the state of public health in the context of the COVID-19 pandemic, was conducted. After the completion of the survey, its results were compared with those obtained without a pandemic in 2017. Since the data distribution corresponded to the Gauss–Newton binomial curve, the significance of differences was assessed using the parametric Student's t-test.

Results. It has been established that the structure of the influence of health determinants in the context of the COVID-19 pandemic differs significantly from that without it. During a pandemic, the share of factors in the “Lifestyle” group decreases by 1.75 times, and it is no longer a priority, but occupies the third ranking place. Out-of-group determinants, which were in second position, take the first place. The second ranking place with a growth of 1.60 times is occupied by the “Conditions of life and work” group. The share of influence of each of the considered 37 determinants of health was assessed — multidirectional changes, for example, an increase in the responsibility of the authorities for actions and equity in relation to the health of the population from the “General Factors” group and a decrease in six of the seven determinants of the “Lifestyle” group, were identified. Continuation of the study is possible with regard to the formation of a separate block in the design of the appropriate optimization technology.

Conclusion. A significant change in the structure of the influence of the public health determinants during the COVID-19 pandemic in comparison with the data obtained before the onset of this pandemic, has been established.

Keywords

determinants of health / share of influence / COVID-19 pandemic

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